MEDICARE: DR. DONNA REED OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0712	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	50Y003400NH01	OTHER	NH	ANTHEM
3	271856	OTHER	NH	CIGNA

General Provider Information

NPI Number	:	1427089770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA REED OD

Provider Business Mailing Address
First Line	:	PO BOX 1427
Second Line	:
City	:	NEW LONDON
State	:	NH
Zip	:	03257-1427
Country	:	US
Telephone Number	:	603-526-4043
Fax Number	:	603-526-6949

Provider Business Practice Location Address
First Line	:	197 MAIN ST.
Second Line	:
City	:	NEW LONDON
State	:	NH
Zip	:	03257-1427
Country	:	US
Telephone Number	:	603-526-4043
Fax Number	:	603-526-6949

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/17/2012

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Directions to “ DR. DONNA REED OD” Practice Location

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